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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TESFAYE GEBREKRISTOS GONDEL MD
NPI 1639110562
Pediatrics in San Jose, CA

Active since June 10, 2006PECOS Enrolled
751 S BASCOM AVE, PSYCHIATRY DEPARTMENT, SAN JOSE, CA 95128(408) 885-6100 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Tesfaye Gebrekristos Gondel Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TESFAYE GEBREKRISTOS GONDEL MD (NPI 1639110562) is an individual pediatrics provider in San Jose, California, licensed in California (A94161) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639110562
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameTESFAYE GEBREKRISTOS GONDELCredential: MD
Location Address751 S BASCOM AVE, PSYCHIATRY DEPARTMENTSan Jose, CA 95128-2604
Mailing Address10200 Miller AveCupertino, CA 95014-3439 · (917) 755-1054
Phone(408) 885-6100
Sole ProprietorNo
Enumeration DateJune 10, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1639110562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A94161
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
751 S BASCOM AVE, San Jose, CA 95128
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tesfaye Gebrekristos Gondel Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95128 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. TRANG N NGUYEN PHARM.D
Pharmacist
751 S BASCOM AVE
SAN JOSE, CA 95128
Santa Clara County (408) 885-2360
DR. ILANA TRAYNIS M.D.
Student in an Organized Health Care Education/Training Program
751 S BASCOM AVE, DEPARTMENT OF MEDICINE
SAN JOSE, CA 95128
Santa Clara County (408) 885-6300
DR. ABBY KATHERINE SCURFIELD MD
Student in an Organized Health Care Education/Training Program
751 S BASCOM AVE
SAN JOSE, CA 95128
Santa Clara County (408) 885-5000
GABRIELLE MINEHAN CCP
Perfusionist
751 S BASCOM AVE
SAN JOSE, CA 95128
Santa Clara County (408) 885-5000
PRIYA NIGAM MD
Student in an Organized Health Care Education/Training Program
751 S BASCOM AVE
SAN JOSE, CA 95128
Santa Clara County (408) 885-5000
CAROLINE DENISON JORDAN
Student in an Organized Health Care Education/Training Program
751 S BASCOM AVE
SAN JOSE, CA 95128
Santa Clara County (408) 885-5000
MICHAEL NATHANSON MD, PHD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
751 S BASCOM AVE, CARDIAC SURGERY DEPT
SAN JOSE, CA 95128
Santa Clara County (408) 885-5000
EAMONN PATRICK DUNPHY MD
Internal Medicine
751 S BASCOM AVE, RADIATION ONCOLOGY
SAN JOSE, CA 95128
Santa Clara County (408) 885-4150

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tesfaye Gondel's NPI number?

The NPI number for Tesfaye Gondel is 1639110562. It was assigned to this individual provider in the NPPES registry on June 10, 2006.

Where is Tesfaye Gondel located?

Tesfaye Gondel practices at 751 S Bascom Ave Psychiatry Department, San Jose, CA 95128. The listed phone number is (408) 885-6100.

What is Tesfaye Gondel's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Tesfaye Gondel enrolled in Medicare?

Yes. Tesfaye Gondel is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tesfaye Gondel was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.